2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/37567Taiwan needs a good public health measure to solve its serious dental caries problem. After reviewing literature regarding the cost effectiveness and safety of salt fluoridation in developed countries, we preliminarily conclude that salt fluoridation is probably feasible in Taiwan and merits further investigation. The purposes of this study are: (1) to conduct extensive and careful literature review of the effects and strengths/limitations of salt fluoridation in caries prevention; (2) to assess Taiwanese people's exposures to fluorides; (3) to investigate Taiwanese people's attitudes towards and knowledge of fluorides and salt fluoridation; and (4) to examine dentists' knowledge and attitudes towards salt fluoridation and use of fluoride in their practices. This study has five main parts. First, we will extensively collect and review all relevant literature and write a report. The focus of this report is the effectiveness and safety of salt fluoridation. Second, we will gather information regarding Taiwanese people's salt consumption and exposures to fluorides from various sources, including toothpastes, fluoride mouth rinse, and drinking water. Third, we will conduct a national survey of 6-15 year-old students and their parents for their uses of, attitudes towards, and knowledge of fluoride and fluoridated salt. Fourth, we will implement a survey on dentists. Finally, we will visit Taiwan Salt Company to understand their attitudes towards producing and marketing fluoridated salt. The data analysis includes chi-square test and logistic regression using SAS and SUDAAN. Based on the study results, we will make a final conclusion regarding the feasibility of salt fluoridation as a public health measure for caries prevention in Taiwan. Furthermore, we will propose what needs to be done in the future.臺灣地區迫切需要一個良好的公共衛生措施來預防嚴重的齲齒問題，在我們初步對食鹽加氟的效果及安全性等相關文獻及背景了解之後，認為食鹽加氟在台灣的可行性是很值得進一步探討的。本計畫之主要目的有五: (一) 嚴謹而詳盡地探討文獻上關於食鹽加氟預防齲齒的成效及其優缺點，並且深入探討食鹽加氟在瑞士、德、法實施之歷史演進、成果、安全性、氟的濃度、成本、以及困難處；(二) 探討氟化物預防齲齒的效果、作用機轉、及安全性；(三) 探討臺灣地區居民的氟暴露量；(四) 調查臺灣民眾對於氟化物預防蛀牙的知識和使用率，對食鹽加氟的態度；(五) 調查牙醫師對於氟預防齲齒的知識、態度、臨床上使用情形、對食鹽加氟的態度。 本計畫之實施方法包括五大項: (一) 收集及研讀和食鹽加氟相關的研究報告，著重在瑞士、德國及法國等先進國家的研究結果。研讀有關氟化物的作用機轉及安全性的研究。將所收集文獻及我們對它的評論結集簡化成一報告，此一報告的重點在：評估含氟食鹽預防齲齒的功效及安全性。(二) 收集及研讀以下相關文獻：台灣地區市售含氟牙膏含氟濃度及銷售、各地自來水中氟的濃度、礦泉水及加水站等水中氟的濃度、國人食鹽攝取量。(三) 以郵寄問卷調查的方式，來評估6-15歲學童及其家長的含氟物攝取及使用情形、對氟的認識及態度、對氟化鹽的態度。(四) 以郵寄問卷的方式，來調查台灣地區牙醫師在臨床上使用氟化物的情形、對氟的知識與態度、及對食鹽加氟的態度。我們將針對牙醫師及學童分別設計一份問卷，設計好後先做測試，而後再以郵寄的方式分別寄給抽樣出的牙醫師與學童。抽樣的方法分別是：以分層取樣方式的方式，抽出2000名牙醫師；採多段分層取樣方式抽取依照該層內國中、小學人口數目抽取學校及班級數，以班級為取樣單位，擬取68班國小生及68班國中生，共約6120名學生及其家長進行調查。(五) 訪問台鹽公司，深入了解其生產含氟鹽技術、意願、市場開發、價格變化及執行能力。資料的分析將使用 SAS Version 8.0 軟體，主要有chi-square test 和 logistic regression 等。 希望綜合上述完成的結果，為我國食鹽加氟之可行性做出審慎客觀的結論。如果結論為可行，則進一步提出未來要如何評估成效與安全性，例如定期做全國性的齲齒、氟斑齒、氟暴露量的調查。如果結論為需要更多的資料，則提出建議，以便將來可以針對不足之處做更多的研究。食鹽加氟齲齒流行病學氟斑齒臺灣地區Salt fluoridationDental cariesEpidemiologyDental fluorosisTaiwanProject